Note: The Tenderer shall fill up Performa and sign and submit along with the offer.

TENDERERS INFORMATION

1 Name of the contractor/Firm & Full Address:

(copy of proof of address should be enclosed)
2 For contact purpose
(i) Mobile No.
(ii) Land phone
(a) Office
(b) Residence
(iii) Fax No.
(iv) e-mail address
3 (i) Bank Account No
(ii) Current Account No.
(iii) Name of the Bank with address
(iv) Code of the Bank:
(To arrange contractual payments through
Electronic Fund Transfer System)
4 PAN No,
5 TIN No.
6 Partnership deed should be enclosed :
If it is not a proprietary firm.
7 License No., under contract Labour:
(Regulation and abolition Act 1970 or
Building and Other Construction Works Act
(BOCW) from Ministry of Labour, if
applicable. Specify the reasons if not
applicable. (Copy should be enclosed).
8 EPF Code No. :
(Copy of Registration to be enclosed)

Note: The tenderers shall furnish Bank account details and also to submit NEFT (National
Electronic Fund transfer) form along with the tender offer in order to transfer the Earnest
money amount paid through online transfer directly from bank account.

Station:
Date: Signature of tenderer/ contractor